JAMES M CERULLO (Credential# 1054274) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2014. The license expiration date date is August 31, 2015. The license status is INACTIVE.
JAMES M CERULLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002735. The credential type is physician assistant. The effective date is September 1, 2014. The expiration date is August 31, 2015. The business address is Bristol Hospital, Bristol, CT 06010. The current status is inactive.
| Licensee Name | JAMES M CERULLO |
| Credential ID | 1054274 |
| Credential Number | 23.002735 |
| Credential Type | Physician Assistant |
| Business Address |
Bristol Hospital Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-03-05 |
| Effective Date | 2014-09-01 |
| Expiration Date | 2015-08-31 |
| Refresh Date | 2015-12-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1057852 | CSP.0052176 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-03-28 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | BRISTOL HOSPITAL |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David B Glassman Md | Bristol Hospital, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jared W Kohlhepp | Bristol Hospital, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey Kaye | Bristol Hospital, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vipul M. Kella | Bristol Hospital, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Richard Dalfen Md | Bristol Hospital, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cerullo & Co Cpa | 39 Mill Plain Rd Ste 8, Danbury, CT 06811 | Community Association Manager | 2000-02-23 ~ 2001-01-31 |
| Cerullo & Co., Cpa | 14 Carriage Ln, New Fairfield, CT 06812-2564 | Certified Public Accountant Firm Permit | 2015-01-23 ~ 2015-12-31 |
| Louis J Cerullo | 325 Danbury Road ., New Milford, CT 06776 | Certified Public Accountant Firm Permit | 1993-01-21 ~ 1993-12-31 |
| Michael J Cerullo | 6 Priorwood Gdns, Cromwell, CT 06416 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
| James Alsup | 190 Woosamonsa Rd, Pennington, NJ 08534-4002 | Physician Assistant | 2001-08-30 ~ 2002-09-30 |
| James B Hulin | 40 Prospect, Norwalk, CT 06850 | Physician Assistant | ~ 1996-06-30 |
| James E Scliopou Pa-c | 20 Carla Ln, Wilbraham, MA 01095-1454 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| James J Ryan | P.o. Box 525, Pine Plains, NY 12567 | Physician Assistant | 2003-03-03 ~ 2004-02-29 |
| James R Gerace Pa | 5 Upland Rd, Middlebury, CT 06762 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).